Guzman, Kathleen

Guzman, Kathleen was paid $1.71M by Medicaid between Aug 2021 and Dec 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 91% of everything it billed.

33Billing provider infoGUZMAN, KATHLEEN
SECAUCUS, NJ 07094

33aNPI1669031183assigned 06/08/2019

33bProvider typeSocial Worker

28Total paid$1.71M

24GClaims8,404

24DCodes billed2

24AFirst – last monthAug 2021 – Dec 2024

Compared with peers

Next to other Social Worker providers in New Jersey

Rank by total paid#5 of 28

Median peer was paid$294K

This provider vs. median5.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration91% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	256	$51K
2022	787	$152K
2023	2,296	$451K
2024incomplete	5,065	$1.05M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	91%	7,444	2,395	$1.55M
H2014	Skills training and development, per 15 minutes	9.3%	960	266	$159K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.